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Tumors And Tumors

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Tumors and tumor-like lesions usually been discussed in a large category, because their appearances sometimes are similar and make differential diagnosis extremely difficult. But tumors are non-neoplastic lesions, while tumor-like lesions are not, therefore, treatment and prognosis of these two groups of disorders are usually different. The incidences of tumors and tumor-like lesions have big differences in literature, this may due to the classification of benign, malignant and non-neoplastic conditions usually overlap (Casadei et al., 2013; Pluot, 2009). In addition, some cases are asymptomatic may give the possibility of ignorance, delayed or incorrect diagnose of these conditions (Casadei et al., 2013) also make the real incidence of …show more content…

Imaging appearance of patellar GCTs is usually similar to the lesions occur in other sites(Singh et al., 2009), and they are characterized in radiographs and CT as eccentric soap bubble-like lytic bone lesions, without sclerotic margins or mineralization, transition zone to normal bone is narrow(Pluot, 2009). Pathologic fracture and septations are frequently reported, and the septations are usually thin and may extend throughout the tumor(Singh et al., 2009). MRI provides more details of the extraosseous extension cortical penetration and associated soft-tissue mass than X-ray and CT (Singh et al., 2009). GCTs is typically demonstrated as low to intermediate intensity on T1-weighted images and intermediate to high signal intensity on T2-weighted MRI(Pluot, 2009). Fluid to fluid level indicates blood-filled cavities of secondary ABC formation, and areas of low signal intensity suggest haemosiderin depositions(Pluot, 2009). Completely resection the tumor and patellectomy are the main treatment of GCT in the patella. Postoperative follow-up is necessary to detect local recurrence and remote metastasize (Malhotra, Sharma, Kumar, & Nataraj, 2010). Chondroblastoma Chondroblastoma is a cartilage neoplasm that typically occurs in the second or third decade of life(Mirra, Gold, & Picci, 1989; P.MOSER, 1988). Chondroblastoma representing 16% of all tumors involvement of this site and is the second common tumor of

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